1. WELCOME BACK! MS2 Orientation August 8, 2014 Dr. Georgette Dent Office of Alumni Affairs and Student Affairs University of NC School of Medicine

2. Welcome Back MS2s!

3. Agenda Welcome MS2 Co-Presidents: Billy Oslund and Judd Heideman Financial Service: Sheila McDonald MS2 Curriculum: Drs. Rao & Madanick Step 1 & Match Overview: Dr. Dent Third Year Curriculum: Dr. Chuang Third Year Scheduling: Dr. Dent Asheville Curriculum: Dr. Latessa Charlotte Curriculum: Dr. White Activities Fair/Lunch! 6/9/2016 3

4. Thank You! Orientation Committee Allie Goins Ben Frush Judd Heideman Christopher Gardner Billy Oslund 6/9/2016 4 Class of 2018

5. Thank You! Advocates! 6/9/2016 5 George Alyateem Manny Fanarjian Anna Fleischman Taylor Gunnell Chris Iskander Paul McIntosh Caroline Moffett Graham Mulvaney Bo Nebolisa Alex Plattner* Michael Robinson Caroline Newman Keyonna Williams

6. MS2 WMS Co-Presidents

7. Financial Services Sheila McDonald Office of Student Affairs University of NC School of Medicine

8. MS2 Curriculum Dr. Ryan Madanick Dr. Kathleen Rao Office of Student Affairs University of NC School of Medicine

9. Step 1 Overview Office of Student Affairs University of NC School of Medicine

10. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match USMLE - Step Exams MS2 Orientation Georgette A. Dent Associate Dean for Student Affairs University of North Carolina School of Medicine

11. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE Step 1 Educational Policy Must take prior to starting 3 rd year Must pass by December 31 st of 3 rd year If first attempt is unsuccessful, plan on re- take by November 15 th of 3 rd year If third attempt unsuccessful, reviewed by SPC for dismissal

12. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam

13. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Application Process Apply online – NBME Licensing Examination ServicesNBME Licensing Examination Services We will help with Certification/Proof of Enrollment –Class meeting October 13, 1:00 PM Cost is approximately $600 Registration fees are typically budgeted in financial aid package – USMLE Study Materials (included in cost of education) Fees are typically included in Financial Aid Package Half dispersed in the Fall Half dispersed in the Spring Need to budget for registration and travel Testing accommodations may be available but need to apply in advance

14. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match USMLE Fees For Students and Graduates of Medical Schools in the United States and Canada Accredited by the LMCE or AOA 2014 Fees Effective Dates for 2014 Fees Step 1$580* Three month eligibility periods beginning November 1, 2013 - January 31, 2014 and ending October 1, 2014 - December 31, 2014 Step 2 CK$580* Step 1 and 2 CK $65 Eligibility Period Extension (requests received starting January 1, 2014) Step 2 CS $1,230 For completed applications received starting January 1, 2014.

15. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Best Practices for Preparing for Step 1 Start preparing for Step 1 by reading the appropriate sections of First Aid with each course as it is in session. Use First Aid and a question bank (e.g. Kaplan, USMLE World) electronic question banks as core Step 1 study materials during the May-June study period following second year. Do not wait until you have studied all content before taking a practice test. Develop a feasible plan of study that includes reading/studying, doing questions in question banks, and ongoing review of topics already studied. Identify weak areas and use subject-specific review materials (Board Review Series, Lippincott for pharmacology or pathology). Do random questions in 50 minute blocks (question bank). Review correct and incorrect answers and understand why the correct answer is correct and why others are wrong. Keep a running list of topics that will require additional study.

16. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Best Practices for Preparing for Step 1 We know that it is gratifying to study what you like, but… you must resist the temptation to study what you already know!!! A key to success is efficiently figuring out what you do not know and learning as much of it as possible before the exam!

17. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Popular Step 1 Preparation Materials

18. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Step 1 Review Aids and Question Banks cont. Results from the 2012-13 UNC SOM Step 1 Study Analysis – March 2013

19. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Step 1 Review Aids and Question Banks Resource % who purchased% who used Recommendation Ranking (1=best, 5=worst) % who ranked as a Top 3 resourceAugNov/DecJan/FebMarMay Pathoma87.977.31.6448.53455212 First Aid10098.51.1290.92658719 Firecracker43.912.23.330.094410 Kaplan Qbank18.210.631.522123 Practice Exams69.768.21.4725.8000045 USMLE World98.595.51.0590.91281535 Clinical Microbiology Made Ridiculously Easy39.419.72.620.0510312 BRS Books31.816.730.0100010 Pharmacology flashcards34.915.23.040.0100015 Lippincott's Illustrated Reviews: Pharmacology003.330.000000 High-Yield Immunology4.533.50.010001 High-Yield Gross Anatomy333.50.000010 High-Yield Neuroanatomy19.79.13.10.020201 DIT45.543.92.1927.3000228 USMLE Rx Qbank7.66.121.500213 Microbiology flashcards3321.500213 Preliminary data form Class of 2016 Approximately 1/3 class responding

20. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Pros Comprehensive material, detail orientated Organized Covers many topics Great memorization techniques Multiple formats to keep you interested Good if you’re someone who thrives with rigid structure and schedule imposed by someone else (e.g., you just follow along with the recorded lectures) Quizzes reinforce materials and help with memorization Well structured review plan Cons A lot to cover in short amount of time Expensive Time consuming to watch all the videos Workbook (and lectures) lacked SO many of the important, truly high yield topics for Step 1 No explanations – more or less restates the book Boring at times to watch for 10hrs/day Recite Step 1 at times http://www.doctorsintraining.com

21. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Pros Excellent review Satisfying explanations for a lot of the tough pathologies Clever mnemonics for remembering some of the key features Can speed up the recordings to at least 1.5x. Great to use in parallel with the clinical parts of FirstAid (in fact, I found that NOT using the pathology section of First Aid, but relying on the corresponding section of Pathoma instead was a more efficient use of my time. Good pictures and diagramming by the speaker. Cheaper than DIT Cons Doesn’t cover ALL the pathologies you’re responsible for Recorded lectures are largely a verbatim recapitulation of the text http://www.pathoma.com/

22. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Pros Same format as real thing Great companion to First Aid! Lengthy explanations to each question that provides lots of important learning points Great learning! Has Iphone and Android apps so you can do questions from anywhere Supplements First Aid very well Questions that were probably a little harder than the actual Step 1, but they had good explanations for the answers and it highlighted important facts that need to be memorized for Step 1 MUST have for Step 1 (and Step 2, for that matter) Cons Expensive, though worth it! http://www.usmleworld.com/

23. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Pros Questions help teach you how to really read every word of question stems and answer choices Cons Little more esoteric and unrealistic Seemed to focus on trying to trick you instead of increase your Step 1 knowledge http://www.kaptest.com/

24. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Pros Cheapest qbank Biggest qbank Cons Many questions slightly easier than UWorld counterparts—stems have more of the obvious keywords you’re trained to look for https://www.usmle-rx.com/

25. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Pros Good way to gauge how well your studying is preparing you for realistic questions very similar to those on real USMLE Step 1 Provides a score that is very predictive of your actual step 1 score Cons Somewhat expensive ($60 each) Keep in mind that scores are not an exact predictor and could be a little higher or lower http://www.nbme.org/

26. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Spaced repetition flashcards: flashcards that you rate how well you remember it, then computer figures out when to show it to you next

27. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Popular Study Materials Pick the one(s) best for YOU! –Doctors in Training (DIT) –Pathoma –Picmonic –Firecracker –Anki –Kaplan –USMLE World

28. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Take home message Have a plan Be true to your study style Do not feel compelled to spend a lot of money on materials that you do not have either the time on inclination to use Everyone should get First Aid and a question bank Usefulness of other resources depend on your individual learning style

29. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match Resources and Contacts USMLE Web Site –http://www.usmle.org/http://www.usmle.org/ National Board of Medical Examiners –The National Board of Medical Examiners ®The National Board of Medical Examiners ® Prometric web site –http://www.prometric.comhttp://www.prometric.com AAMC Careers in Medicine –https://www.aamc.org/cim/‎https://www.aamc.org/cim/‎

30. Scheduling the test Best Practices Resources Application Process Educational Policy After the exam Taking the exam USMLE & the Match QUESTIONS?

31. Match Overview Office of Student Affairs University of NC School of Medicine

32. Presentation Agenda How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues

33. How do You Apply to Residency? 1.Select Specialty 2.Attend Required Class Meeting December 18, 2015 3.Request 4 th year schedule Meet Career Goal Advisor (specialty specific advice) Meet with college advisor Set up audition (away) electives (if necessary) Schedule time to interview Schedule time to prepare for Step 2 4.Sign up for Electronic Residency Application Service (ERAS) Update CV Meet with Staff Writer for Medical Student Performance Evaluation (MSPE aka Dean’s Letter) Submit ERAS application by September 15 of 4 th year »Write personal statement »Get recommendation letters (3 or 4) »Select programs 5.Interview (typically October to January 4 th year) 6.Sign up for National Residency Matching Program (NRMP) and finalize rank order list (ROL)

34. Selecting a Specialty What type of patients? »Kids, adults, elderly, women, mix »Acute, chronic &/or psychiatric disorders »Surgical or non-surgical problems What type of setting? »Clinic »Hospital »Operating room »Emergency room Thinking or doing?

35. Useful Career Choice Tool

36. COS (Career Opportunities Series) 12 pm in G202 MBRB Thursday, August 28, 2014 – ENT Thursday, September 18, 2014 – TBD Thursday, October 30, 2014 – Dermatology Thursday, December 4, 2014 – Family Medicine Thursday, January 29, 2015 – Pediatrics Thursday, February 26, 2015 – Psychiatry Thursday, March 19, 2015 – Neurological Surgery Thursday, April 30, 2015 – General Surgery

37. Goals of Advisor Meetings Discuss suitability of Asheville/Charlotte curriculum Required meetings through out fall semester Answer questions about the curriculum. Discuss issues related to Step 1 preparation Discuss whether or not you have an interest in a particular specialty Discuss whether or not you might want to go on leave (LOA) after 3 rd year (research, international, public health, business school, other graduate program).

38. MS2 Brown Bag Workshops 12pm August 21, 2014 – Careers in Medicine: What’s Your Trajectory October 16, 2014 – Exploring Alternative Curriculums November 26, 2014 – Strategies for Preparing for Step 1 January 22, 2015 – Burned Out? How to Prevent? How to Deal? March 26, 2015 – Who’s With Me? Managing Relationships in Medicine April 23, 2015 – Transition to the Clinical Years

39. Presentation Agenda How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues

40. Assess Competitiveness of Specialty Ratio US seniors:per position Average USMLE scores of applicants Average number of applications per student by specialty Percent of applicants who are members of AOA

41. Highly Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Dermatology1.0244 Orthopedic Surgery 0.8240 Otolaryngology0.9243 Plastic Surgery0.9249 Radiation Oncology0.8240 Radiology1.3240 Match Outcomes Data, August 2011 6/9/201641

42. Moderately Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Anesthesiology1.3226 Emergency Medicine1.0223 General Surgery1.1227 Med/Peds1.3230 Obstetrics/Gynecology1.3220 Pediatrics1.4221 Match Outcomes Data, August 2011 6/9/201642

43. Less Competitive Specialties: Ratio of Positions to US Seniors Median Step 1 Scores for Matched Students RatioStep 1 Family Medicine2.1213 Internal Medicine1.8226 Neurology1.8225 Pathology1.9226 PM & R1.7214 Psychiatry1.8214 Match Outcomes Data, August 2011 6/9/201643

44. Percent US Seniors In Honor Society (AOA) who Matched in 2011 Source: NRMP Charting Outcomes in the Match – Characteristics of Applicants Who Matched to their Preferred Specialty in the 2011 NRMP Main Residency Match

45. Predictors of Matching Number of programs ranked Step 1 Step 2 Graduate of top 40 NIH ranked school AOA (medical honor society) »Top 25% of class nominated spring of 3 rd year and fall of 4 th year »MS1 year does not count! (really!) Match Outcomes Data, August 2011

46. What puts you at risk for not matching? Competitiveness issues: academic/professionalism problems (e.g. USMLE, grades, no research) Apply to more programs Apply to back up specialty Well crafted personal statement to provide context to record Try to enhance credentials (e.g. early Step 2, research year, do well 4 th year) Away electives Attitudinal/interpersonal issues: poor interviewer; ambivalent about medicine or specialty Take electives to better define specialty choice Do practice interviews Geographical issues: Apply to more than one specialty Do elective and/or research in targeted location Couples need to apply to at least one big cold city

47. Presentation Agenda How do you apply to a residency? Competitiveness of various specialties Clinical curriculum scheduling issues

48. Match Considerations 4 th year Away (audition electives) especially for surgical specialties or for geographic reasons One or two months off for interviews Taking electives in specialty area (e.g. anesthesiology, dermatology, emergency medicine, radiology, etc.) Taking Step 2 CK and/or Step 2 CS early Taking electives/selectives to get additional letters of recommendation (LORs) You will be able to take electives starting in April of 2016!

49. Career Planning Time Line MS2 Year (2014-2015) Meet with College Advisor Brown Bag lunches Attend Career Opportunity Series Attend Research, MPH, and MBA lunchtime meetings June 2015 – Take USMLE Step 1 MS3 Year (2015-2016) December 18, 2015– Required Residency workshop March – deadline for 4th year schedule January – mid-July: MSPE (Dean’s Letter) appointment Meet Career Goal Advisor MS4 Year (2016-2017) July & August – rotations in specialty choice July & August – ERAS/NRMP Workshop July-October – away “Audition” electives September 15 th – deadline for residency applications October-January – residency interviews March 2017 – Match Week!

50. Dual Degree Application Deadlines Tentative MD/ MPH deadline o Typically done between 3 rd and 4 th year o December 2015 MD/MBA deadlines: o Late fall 2015/early spring 2016

51. 6/9/2016 51 September 26, 2014 – Hosted by Cross College October 24, 2014 – Hosted by Simkins College November 21, 2014 – Hosted by Cefalo College January 30, 2015– Hosted by Smithies College February 13, 2015 – Hosted by Dimock College March 27, 2015 – Hosted by Williamson College April 25, 2015 – Annual Family Day/College Cup Advisory College Wellness Events – Save the Dates! This is what you covet

52. On-line Resources Careers in Medicine: https://www.aamc.org/students/medstudents/cim/https://www.aamc.org/students/medstudents/cim/ Personal Career Assessment »Medical Specialties ApitudeTest http://www.med-ed.virginia.edu/specialties/ »Temperament Sorter http://www.advisorteam.com/temperament_sorter/register.asp?partid=1 Match »Charting outcomes of the match: http://www.aamc.org/programs/cim/chartingoutcomes.pdfhttp://www.aamc.org/programs/cim/chartingoutcomes.pdf »ERAS: http://www.aamc.org/students/eras/http://www.aamc.org/students/eras/ »VSAS: https://www.aamc.org/students/medstudents/vsas/https://www.aamc.org/students/medstudents/vsas/ »NRMP: http://www.nrmp.org/http://www.nrmp.org/ »Selection Criteria for Residency: Results of a National Program Director’s Survey: http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residen cy__Results_of_a.24.aspx http://journals.lww.com/academicmedicine/Fulltext/2009/03000/Selection_Criteria_for_Residen cy__Results_of_a.24.aspx »FREIDA: http://www.ama-assn.org/ama/pub/education-careers/graduate-medical- education/freida-online.shtmlhttp://www.ama-assn.org/ama/pub/education-careers/graduate-medical- education/freida-online.shtml » AAMC Roadmap to Residency: From Application to the Match and Beyond www.aamc.org/publicationswww.aamc.org/publications Click “Student Affairs” 6/9/2016 52

53. Third Year Curriculum Dr. Alice Chuang Office of Student Affairs University of NC School of Medicine

54. Third Year Scheduling Office of Student Affairs University of NC School of Medicine

55. Third Year Choices 1.Chapel Hill/AHECs Traditional 2.Asheville Longitudinal 3.Charlotte Hybrid

56. Traditional Curriculum Departmentally based Concentrated focus on specific discipline Charlotte Chapel Hill AHECs (Greensboro, Wilmington, etc) Longitudinal Curriculum Follow patients over time Mix of disciplines More outpatient based Work with physicians and in offices over time Asheville (2 year commitment) Hybrid Charlotte (1 or 2 year commitment) Some traditional and some longitudinal Third Year Curriculum

57. Curriculum (Traditional) Internal Medicine (inpatient) – 6 weeks Ambulatory Medicine (outpatient medicine & family medicine) – 6 weeks Surgery – 6 weeks Psychiatry and Neurology – 6 weeks Obstetrics and Gynecology – 6 weeks Pediatrics – 6 weeks Third Year

59. 3 rd Year Scheduling Two Step Process Step 1 order of clerkship Scheduled using random order Step 2 site of clerkship Asheville, Charlotte, Greensboro, Wilmington, etc Will need to apply promptly for AHEC Housing! Opportunities for switching order and/or site 36 weeks instruction 2 weeks winter break

60. Learning in the Clinical Years In Chapel Hill and at the other AHEC Sites Raleigh Greensboro Charlotte Wilmington Asheville Others Approximately 50% of clinical placements are at AHEC sites.

61. Schedule Information Form Need to stay in Chapel Hill Children Medical Issues Physician form Campus accessibility office Other Military Asheville Program Charlotte Program Clerkship delay should discuss with advisor Will need to take 16 week course (TEC) clerkship!

62. Third Year Scheduling Considerations Form http://www.med.unc.edu/md/forms/3rd- year-scheduling-considerationshttp://www.med.unc.edu/md/forms/3rd- year-scheduling-considerations

63. September 8 th – Charlotte Program Application Due September 21 st – Asheville Program Application Due October 2 nd – Charlotte Open House / Interviews October 3 rd – Asheville Interviews November 1 st – Deadline for submitting Clerkship Preference Forms Required Meetings with Advisors Scheduling Deadlines

64. Urine Drug Screens Required for some sites We can help with the cost if it is for a required rotation Alcohol Amphetamines Barbiturates Benzodiazines Cocaine Opiates (including various synthetic opiates) Phencyclidines Marijuana

65. 3 rd Year Calendar 2015-2015 (dates tentative) EPIC Training April to June Required Transition Course: June 29-July 2, 2015 Will discuss April to June 4 th year schedule Clerkships start July 6 th 2015 Required Class Meeting December 18, 2015 Winter break: December 19 th 2015 to January 3 rd 2016 Third Year Clerkships end March 24, 2016

66. 10 required months/13 month calendar Start date: March 28, 2016 End date: April 28, 2017 Will discuss scheduling the first 3 months of 4 th year (April-June 2016) in June 2015 during Transition Course Will discuss scheduling July 2016-April 2017 during required class meeting in December 2015 4 th Year Curriculum

67. Questions?

68. Branch Campus Programs Asheville Charlotte Office of Student Affairs University of NC School of Medicine